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PLUMBING PERMIT - Oshkosh, Wisconsin
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Date . I Lot No. I Block I Ward
OUTSIDE WORK
N~ 905
Slreet .
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.4
I Addition or Replat
Permit
Naw SEwn WATER STORMS FEES FE" RElAY S. SEWER WATER STORMS FEES
From MaIn to Curb Seplic Tanks From Main to Curb
From Curb to BuDding A!'-'¡1-',' I+: '{I ~ Eleclrlc Pumps From Curb 10 Building
7 Repair
INSIDE WORK
110.
NEW
REP.
USED
FlES
NO.
NEW
REP. I USED
FEES
"0.
NEW
REP.
USED
'EEI
Bath Tub
I----
Garbage D18pooa1s
Catch B8IÙ1I
Wuh Basin
Dishwashers
Conducloro
Will... CIONt
LaundrlUlUlts
Grease Catch Basills
I--
SIDlE
Water Softeners
Sump Pump Ik Ejeclors
Wilier Heaters
Saniiery Bubblers
Bar end Soda Wastes
Show... Batha
UriDal8
Floor Drains
Dental Cuspido..
1-
Laundry Tubs
~:~.:_---_mm_---_m.._----____Ou!side
Service Sinks
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City T,..",",
Recei"~ P~it and Inspeclion Fees
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--._m----f...~.._plbg. Fee.
._--------__~_~_Tolal
Dale /ctJ.,;¡.77'
.-.-..----m-------------------------------_.__-mlnside
Valuation of the Work Herein Described
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.
Fee Verified, Receipled and Recorded
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.
In Ihe performance of this work the undersigned owner (or his euthorired egent) of said premises end his euthorired Plumber hereby egree to be bounden by end
submit to ell statutes, city ordinances. and rules and regulations prescribed by the Board of Public Works for the government of Plumbers.
It is futher egreed by the undersigned thet no other uses will be mode of the ebove connections except as hereinefter listed.
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